Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $10,563.53	Facility		$4,146.00	$4,964.00	$10,563.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $474.20 / $474.20 / $5,452.70	Facility	50	$474.20	$474.20	$5,452.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $878.56 / $1,291.47	Professional		$490.84	$878.56	$1,291.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.86 / $440.39 / $4,635.81	Professional	50	$70.86	$440.39	$4,635.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.63 / $1,191.33 / $1,870.81	Professional		$524.63	$1,191.33	$1,870.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.78 / $778.96 / $1,508.21	Professional		$454.78	$778.96	$1,508.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.17 / $1,511.12 / $6,306.00	Facility		$943.17	$1,511.12	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.74 / $1,273.83 / $3,757.36	Professional		$733.74	$1,273.83	$3,757.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,095.32 / $1,512.22 / $1,993.89	Facility		$1,095.32	$1,512.22	$1,993.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $980.86 / $1,268.33 / $1,735.43	Professional		$980.86	$1,268.33	$1,735.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,006.16 / $5,321.00 / $7,155.00	Facility		$3,006.16	$5,321.00	$7,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $978.32 / $1,845.48	Professional		$672.60	$978.32	$1,845.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $948.80 / $1,116.30 / $1,434.40	Professional		$948.80	$1,116.30	$1,434.40